Lamellar ichthyosis (LI) often presents at birth with the infant encased in a collodion–like membrane (collodion baby) that is soon shed, with subsequent formation of large, coarse scales involving the entire body, including all flexural areas as well as the palms and soles. During childhood and adulthood, the skin is encased in this platelike scale, which causes significant cosmetic disfigurement.Tesselated (tile-like) hyperkeratosis gives the appearance of reptilian scales on the arms around the elbows. The entire body was involved and there was ectropium.